Jubilee Volunteer Application Form Name * First Name Last Name Date of Birth * MM DD YYYY Gender * Male Female Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Cell Phone (###) ### #### Email * Present Employment Job Title EMERGENCY CONTACT INFORMATION * First Name Last Name Relation Phone Do you have any limitations or medical conditions that would affect your volunteering? * Yes No If yes, please explain: Have you been convicted of a crime in the last five years? * Yes No If yes, please explain: Have you ever been convicted of a sex crime? * Yes No Current Church * Pastor Are you volunteering to meet any specific requirements for school, court-appointed community service, etc.? If yes, please explain. What skills, gifts, or experience would you be able to contribute? What type of commitment can you offer? One-time Once in a while Ongoing Position and Location Interests * Comments By typing my name here, I certify that all statements provided in this application are true and complete. Any misrepresentation or omission may be grounds for rejection of the applicant. I authorize investigation of all statements. * Jubilee may take photographs and/or videos of volunteers for promotional material. By typing my name here I grant permission to Jubilee Ministries to use video, photographs, and audio recordings along with any verbal communication shared by or taken of me while volunteering for use in its videos, internal and public; publications such as historical writings; newsletters and brochures; to use the photographs on display boards in stores or ministry locations; and to use such videos, photographs, and audio recordings in electronic versions of the same publications, on Jubilee’s website, in social media posts and other electronic forms or media. I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning, and impact of this release. * Thank you for your application! We will be in touch with you.